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1912647702
SHO YOSHITAKE
NEW YORK, NY
NPI
1912647702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-30
Last Update Date
2022-04-03
Business Address
SHO YOSHITAKE MD
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2862
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Mailing Address
SHO YOSHITAKE MD
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number:
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